OUR GOVERNMENT FINALLY
"Diet is established among the most important influences on health in modern societies. Injudicious diet figures among the leading causes of premature death and chronic disease. Optimal eating is associated with increased life expectancy, dramatic reduction in lifetime risk of all chronic disease, and . A diet of minimally processed foods close to nature, predominantly plants, is decisively associated with health promotion and disease prevention and is consistent with the salient components of seemingly distinct dietary approaches." From the abstract of the Annual Review of Public Health's study Can We Say What Diet Is Best for Health?
- LOW CARB DIETS:
- LOW GLYCEMIC INDEX DIETS:
- LOW FAT DIET / VEGETARIAN:
- DASH DIET:
- MEDITERRANEAN DIET:
- PALEO DIET:
- VEGAN DIET:
LOW CARB DIET
When speaking about the epidemic of both OBESITY and DIABETES, Katz indicates that there are many who believe the Low Fat diets of the past, have led to a corresponding backlash of Low Carb Diets. He then says, "Such assertions are a valid appraisal of prevailing nutritional epidemiology......". In other words, he is completely agreeing that SUGAR and starch jack levels of BLOOD SUGAR so that we will eventually gain weight. I would agree with this part of his assessment, but would argue that it does not go far enough. We know that beyond Diabetes and Obesity, virtually every single non-genetic disease known to man, is being tied back to UNCONTROLLED BLOOD SUGAR in some form or fashion.
Katz ends this section with a seeming contradiction. He says that it is difficult to get enough calories with a carb-restricted diet by letting us know that, carbohydrate-restricted diets are calorie restricted as well". He goes on to indicate that this is bad by letting us know that, "in the absence of calorie restriction, high-protein, low-carbohydrate diets can contribute to weight gain and adverse metabolic effects." But this is contradicted by telling us in the next sentence that, "However, metabolic benefits of low-carbohydrate dieting under diverse circumstances have been reported," and gives several studies to back this up. In fact, he tells us that, "intervention studies of short to moderate duration demonstrate the efficacy of low-carbohydrate diets for weight loss, with potentially beneficial metabolic effects and favorable implications for quality of life". "Metabolic effects" would be lowered blood sugar and slowing down the process of Diabetes that is running roughshod over the citizens of this country. "Quality of life" means long term.
Katz goes on to say that, "most studies suggesting benefit from low-carbohydrate eating per se in comparison, generally, to either the typical Western diet or some version of a low-fat diet". He talks about Low Carb eating's effect on WEIGHT LOSS, implying that much of the weight lost might be to calorie restriction as opposed to the effects of Low Carb itself. Again, I would challenge this assertion by having the reader get and read Gary Taube's Good Calories, Bad Calories -- (HERE is the video at the end of the link). Calories themselves play a very small part in weight gain. The way the foods you eat act upon your ENDOCRINE SYSTEM plays a far bigger part.
Dr. Katz goes on to tell us about a recent Swedish study that indicated, "no increase in incident cancers over nearly 20 years of follow-up was observed in conjunction with relatively low-carbohydrate intake". He then ends this section by telling us that, "weight loss studies of short to moderate duration suggest that carbohydrate restriction is at least as effective as any other approach". Weight loss is great for those who need it, but beyond Weight Loss, I am interested in overall health, as well as the ability to maintain a healthy weight for a lifetime. I believe that Low Carb in one form or another has the ability to help you accomplish this.
Finally, after telling us that the renowned cardiologist, Dr. Robert Atkins, "emphasized unrestricted intake of meat and dairy," (something that is simply not true) the authors discuss eating meat in terms that a vegan would use, describing it as unsustainable, inefficient, unethical, and bad / harmful for the environment. They then proceed to deal with the fact that most Low Carb diets aren't really "low carb" because they are not restricting vegetables --- and after all; vegetables are carbs. Thus, these sorts of diets should be referred to as "carb selective". This is an issue of semantics, unless you are talking about a truly "KETOGENIC DIET" that someone with severe NEUROLOGICAL PROBLEMS such as seizures would be on. Katz then lets us know that as long as we are aware that most people are using the term "low carb" erroneously that, "in such a context, the evidence supporting health benefits of some degree of carbohydrate restriction with liberalization of protein and/or fat intake for at least short-term benefit is fairly strong and consistent." The biggest complaint from most folks (many CARB ADDICTS in the lot) is that they can't stay on it for the long haul.
LOW GLYCEMIC INDEX DIET
The authors begin by saying this about eating according to a Glycemic Index. "This often extends to the exclusion of certain vegetables and many if not all fruits, along with processed foods containing refined starches and/or added sugars. In an age of epidemic diabetes, attention to the glycemic effects of food is sensible at the least." The only vegetable mentioned in the report was "carrots" (usually corn is also mentioned here as well, but corn is a grain and not a vegetable). White potatoes could also have been mentioned as I have seen Glycemic Indexes showing a baked white potato as having a higher Glycemic Index than table sugar. Atkins used to say that carrots were a no-no, but that recommendation went out the door years ago. Fruits, however, are a different story, and for the most part, should not be lumped together with vegetables (i.e. "FRUITS AND VEGETABLES").
People who are carb-sensitive (those who are DIABETIC, INSULIN RESISTANT, OBESE, or chronically ill), may need to stay away from many fruits. Fruits, like the grains that we'll deal with in the next section, have, for the most part, been heavily genetically modified and hybridized. Bananas are a great example of this. Modern bananas are a 100 calorie glucose bomb; far sweeter than anything from the past, and ranked near the top of a Glycemic Index. Hybridizing or Genetic Modification is always done with a goal in mind, and one of the chief goals with modifying fruit is to create greater sugar content. This is why many people (particularly SUGAR ADDICTS) will use fruit as a SUBSTITUTE for their fix-of-choice --- white sugar. Another thing that many people do when they are told to eat more fruits and vegetable, is to go light on the veggies and heavy on the fruits, which is exactly the opposite of how it should work. Eat your (low GI) fruits. Just make sure you are eating far more vegetables. And if you have FIBROMYALGIA / ADRENAL FATIGUE, Chronic Yeast Infections (Candida), CANCER, serious weight issues, or certain other health problems, just be aware that in similar fashion to the problems listed at the top of the paragraph, anything with sugar or high Glycemic Index Carbohydrates --- including fruit --- is probably not your friend; at least until you get healthy.
Some of the specifically mentioned benefits of a low Glycemic Index way of eating include the same perks you would get from almost any Low Carb diet, "benefits in the areas of weight loss, insulin metabolism, diabetes control, inflammation, and cardiovascular function". Once we begin to understand that Blood Sugar is where most disease processes begin, we can appreciate this approach to eating. Eating lower Glycemic Index carbohydrates will help control blood sugar, and provide all the health benefits associated with.
LOW FAT / VEGETARIAN DIET
I am not sure the authors described the "Low Fat" era (the 80's and 90's) as well as could have been done. They actually argue that, "the adoption of many high-starch, high-sugar, low-fat foods" was not the reason for the, "obesity and diabetes epidemics" of those decades, and that even though people may have been eating less fat, the problem was that they were consuming more calories. Once again, I would refer you to Taubes work that I discussed earlier. The authors redeem themselves a bit by saying that, "adverse effects of low-fat eating may be associated with this misapplication of the original guidance rather than the intended guidance...." In other words, we would sincerely hope that the government's recommendations to cut way down on fat, was not an endorsement of all the crappy, heavily processed Low Fat / Fat Free foods that flooded the supermarkets in those days. Furthermore, a vegetarian diet is not necessarily "Low Fat".
A vegetarian diet is not reliably low in fat, nor does it necessarily comprise mostly wholesome plant foods. Similarly, a low-fat diet need not be high in plant foods, and it certainly need not comprise wholesome foods direct from nature. For purposes of this assessment, however, the more idealized versions of “low-fat” and “vegetarian” are intended.
One thing I do appreciate in this section is the authors making mention of the fact that, "one of the more controversial aspects of plant-based eating is the role of grains". Many vegetarians are consuming the proverbial "boatload" of grains. My stance on grains is that while not inherently bad, the fact that we are eating so much of them (Food Pyramid / DASH Diet), along with the fact that the majority of them have been either genetically modified or intensely hybridized, is a recipe for disaster for a growing section of the population. To understand the "why" behind the dramatically increased numbers of Gluten Sensitive people, go HERE. To understand why GLUTEN SENSITIVITY is a far bigger issue than a little bit of gas or bloating, go HERE. And finally, to grasp why GRAINS are so bad for so many people, click the link.
THE MEDITERRANEAN DIET
For people who are actually from the Mediterranean region, grains are not as big of an issue as here because GMO's have been banned in Europe. How much meat is eaten on this diet? Not sure, but there is plenty of quality protein in the form of fish, eggs, poultry, raw dairy (much of it goat-based dairy, which is far easier to digest and less reactive than bovine dairy), etc. The authors went on to say that, "This pattern tends to result in favorable effects on the ratio of omega-6 and omega-3 essential fatty acids, high intake of fiber, and generous consumption of antioxidants and polyphenols. Overall, Mediterranean eating has been associated with increased longevity, preserved cognition, and reduced risk of cardiovascular disease in particular, with some evidence for reduced cancer risk". They then finished by describing two recent studies showing the benefits of the Mediterranean Diet over the Low Fat Diet. Can't say that I'm surprised. When a Mediterranean Diet includes lots and lots of vegetables, which it usually does, it is an extremely healthy way of eating, and can easily be modified for the Grain / Gluten Sensitive American.
MIXED BALANCE DIETS
The DASH Diet is, "a mostly plant-based diet inclusive of some animal products, with an emphasis on low-fat and nonfat dairy products". The DPP Diet is not so much a diet itself, as a set of recommendations. Many of these are good. Eat less processed foods, cut way back on sugar, etc. However, my biggest beef with DASH is it's emphasis on eating lots of grains --- the food of choice for fattening livestock. Back when the Food Pyramid was being called the "Diabetes Diet" (I am not making this up), it had a huge emphasis on grains as we. And not surprisingly, Americans got fatter, sicker, and more diabetic than any other time in the history of the planet. I would contend that the DASH Diet still puts far too much emphasis on dietary grains (6-14 servings a day, depending on which government site you look at). And although we are supposed to buy into this concept that we can trust our government, this is far from the case.
Let me first say that Government Guidelines are never what they seem to be on the surface. Last week's arrest of anti-gun crusader, Leeland Yee for firearm trafficking should be yet another reminder that government officials are not to be trusted. You can read about similar corruption and conflict-of-interest that is associated with both EVIDENCE-BASED MEDICINE, and GOVERNMENT GUIDELINES (and HERE) by simply clicking the links. When Katz and company say, "perhaps because of the ultimate accountability of the NIH to the tax-paying population at large, these federal diets have focused both on enhancements of nutrition and real-world applicability", I would say, "perhaps"? But I have very serious doubts. How accountable are governmental organizations to the tax-paying voter? If recent history tells us anything, it's that governmental organizations are free-spenders and you had better be careful trusting them. Also, when I see the term "real-world applicability", I think GREEN. Not that "green" is all bad, but for may people, it has become their religion. I would guess that the majority of the American people either agree with me, or have their faces buried in a bag of Cheetos ("feed-bag" style) they are unaware of the issue. It's an easy argument to make since the authors concluded that, "widespread adoption at the population level has not occurred".
Take a look at this way of eating. It is clean (no processed foods, and all-natural meats). It is high in vegetation (never confuse grains with vegetation), and is not the "Meat Diet" as some have erroneously characterized it. It's both high in fiber and low in sugar and other "objectionable carbohydrate sources". On top of all that, it's a low Glycemic Index way of eating. Add in the fact that it allows people to get plenty of high quality protein, and it looks to me like it's a viable choice for "Best Diet". Katz even says that, "There is a scientific case for the Paleolithic diet...... Intervention studies lend support as well, suggesting benefits over the prevailing Western diet in measures of both body composition and metabolic health." Simply put, this means that the diet does a good job of controlling both blood sugar and weight. If you can control blood sugar, get plenty of dietary vegetation, and get ample amounts of high quality protein, you have found a healthy way of eating.
A quick side note about the Paleo Diet. Most people (self included) who say they eat a Paleo Diet, do not really adhere to what would be considered a strict Paleo Diet. I eat all of the nightshades, some dairy (butter and cheese), as well as some legumes / beans on occasion. A Paleo Diet can be easily modified to your specific dietary needs. I still recommend starting with a GLUTEN-FREE ELIMINATION DIET, incorporated into THE WHOLE 30. Read the links to see why this is critical for chronically ill people.
Dr. Katz gives us several examples from the peer-reviewed literature of disease / health conditions that can be aided with veganism. Some of these include heavy-hitters like, "inflammation, cardiac risk measures, cancer risk, anthropometry [body size and composition], and insulin sensitivity". I would agree with the fact that when Veganism is done well, it can be a healthy way of eating --- at least for the short term. Katz does not really try to defend the Vegan way of eating over the long haul because he admits that the research on this topic is, "essentially nonexistent".
If you know me, you know that a lack of credibility in the peer-reviewed research is not enough to run me off. However, I believe that while a Vegan approach may provide some benefits over the short term, over the long haul, the difficulty getting high quality protein that it inherent with animal sources is going to catch up with you. This is especially true for anyone who has a difficult time with grains / Gluten. Unfortunately, many in this category will not realize it until it's too late (HERE) ---- unless they get tested (HERE).
A.) "Diets comprising preferentially minimally processed foods direct from nature and food made up of such ingredients." This is not only the theme I try and teach to my patients as far as their diet is concerned, it is largely the theme I try to adhere to in the Nutritional Supplements I personally use and carry in my clinic (HERE).
B.) That your diet should be comprised of, "mostly plants" is "all but incontrovertible". I can certainly buy this as well. Most of the diets above fill this bill. The one I am most leery of in this department is the "Mixed Diet" (DASH). It seems to have far too much emphasis on grains --- almost like it is revisiting the old "Food Pyramid" of 1988 that had grains and cereals (up to 11 servings a day) as its foundation. Be aware that I have seen government sites promoting a DASH Diet with up to 14 (that would be fourteen) servings of grain a day.
C.) This point is extremely important, and rarely discussed. Katz says that if you are going to eat animal animal products or animals themselves, "the composition of animal flesh and milk is as much influenced by diet as we are" (he could easily have put eggs in there as well as milk). This goes directly back to the simple dietary rule in Functional Neurologist, Dr. David Seaman's paper in a national medical journal (Practical Pain Management): Eat vegetation or animals that ate vegetation. You can read my take on his article (ANTI-INFLAMMATORY DIET) by clicking the link.
Katz and Meller go on to mention that following these simple principles might even affect, "the ecology within us". This is an incredibly astute observation, and needs much more time than I am prepared to give it here. Just remember that 80% OF YOUR IMMUNE SYSTEM IS FOUND IN YOUR GUT --- mostly made up of the trillions of bacteria that live there. Unless you have made a conscious effort to do so, you have probably been doused with ANTIBIOTICS. This ultimately leads to a whole host of GUT DYSFUNCTIONS, including DYSBIOSIS and LEAKY GUT SYNDROME ---- and even GLUTEN SENSITIVITY, which itself leads to a wide array of AUTOIMMUNE DISEASES (HERE also). Destroy these bacteria and you'll destroy your health. Keep these bacteria healthy, and watch your overall health flourish.
"The average supermarket in the United States offers in excess of 40,000 products, the majority of which are processed foods in bags, boxes, bottles, jars, and cans—virtually all of which sport marketing messages, many pertaining to health. The clutter of competing claims likely obscures the established body of knowledge and forestalls progress, much like the proverbial trees and forest. We need less debate about what diet is good for health, and much more attention directed at how best to move our cultures/societies in the direction of the well-established theme of optimal eating, for we remain mired a long way from it. This problem is particularly acute in the United States, where life expectancy lags behind that of other developed countries, and health expectancy that much more so."
CAUSE AND EFFECT
The medical community would have you believe that the biggest cause of joint deterioration is birthdays. You know; the whole, "After all Mrs. Smith, you just aren't as young as you used to be" thing. It's too darn easy to blame degeneration on a person's age, and move on to the next patient. This is true whether the patient is 25 or 95. Age is a convenient scapegoat. Let's take a moment and talk about the two main causes of DJD (DEGENERATIVE JOINT DISEASE), otherwise known as Osteoarthritis or Degenerative Arthritis.
- ABNORMAL BIOMECHANICS: When joints or tissues move abnormally (HERE is a video example), the structures that make up said joints degenerate more rapidly than they otherwise would. This is why I see old folks with very little degenerative change in their spine, and likewise, see people in their 30's (or even sometimes their 20's) with degeneration. Abnormal motion causes degeneration, but degeneration causes abnormal joint motion. Ladies and gentlemen; start your engines. A "Vicious Cycle" is about to commence. Understand that this motion must be segmental as well as sectional. In simple English, this means that not only is it critical that you stay active, but that each and every bone / vertebra in your body must be moving freely as well. Degeneration occurs very specifically in the areas that are not moving like they were created and designed to do.
- CRAPPY DIETS: In our age of heavily processed food, this one is tough to get away from. SUGAR does to bones what it does to teeth. JUNK FOOD diets cause your system to acidify. The body uses the best buffer it has available --- calcium it leaches from you blood, bones, or DNA. Thus, poor diets not only lead people into CHRONIC INFLAMMATORY DEGENERATIVE DISEASES (including OBESITY), they lead people straight into OSTEOPOROSIS and DEGENERATIVE ARTHRITIS.
LOW BACK PAIN IS FREQUENTLY....
How much have these various problems increased in recent years? Note that all of the stats are calculated in DALY's (Disability-Adjusted Life Years). In other words, each DALY stands for one year that one person has been totally disabled. The stats were gathered over a period of 20 years, with the initial number coming from 1990 and the second number coming from 2010.
- LOW BACK PAIN: Debilitating Low Back Pain has gone from 58 million to 83 million DALY's worldwide. Be aware that globally, this study showed that almost one in ten adults was debilitated by Low Back Pain, which ranked #6 in terms of DALY's, and #1 in terms of length of time lived in pain. Interestingly enough, when the numbers of those suffering from debilitating back pain were looked at a decade ago (the halfway point), Low Back Pain ranked near the bottom (105 out of 136). This is because at that time, they were using "Spinal Disease" (gross pathology) as their criteria. In other words, the results were based on imaging findings from X-rays, MRI, etc. Many countries did / do not have ready access to this sort of imaging, nor does "SPINAL PATHOLOGY" or the lack thereof, correlate in any meaningful way to the amount of pain that people deal with. In another study run concurrently by Dr. Tom Driscoll of the University of Sydney (and published in the same journal), job-related Low Back Pain accounted for almost 30% of the DALY's, with 62% of all DALY's belonging to men.
- HIP PAIN AND KNEE PAIN DUE TO DEGENERATIVE ARTHRITIS: Out of the nearly 300 conditions observed, arthritic Hip Pain / Knee Pain ranked 11th. DALY's increased from 10.5 million to 17 million. This came from a study published in the Feburary issue of the Brithsh Medical Journal, and concluded that, "It [is] highly likely that the real burden of Osteoarthritis has been underestimated. With the aging and increasing obesity of the world's population, health professions need to prepare for a large increase in the demand for health services to treat hip and knee Osteoarthritis".
- RHEUMATOID ARTHRITIS: This study also came from last month's issue of BMJ. Although Hoy's group has the worldwide incidence of RA at approximately 1 in 400 people, according to the CDC, this is a far better rate than the US, which comes in at approximately 1 in 80. DALY's increased by about 1.5 million over the past two decades, ranking RA 42nd in global disability. The study concluded that, "RA continues to cause modest global disability, with severe consequences in the individuals affected". Remember that RA is an AUTOIMMUNE DISEASE.
- CHRONIC NECK PAIN: This portion of the study was published in January's edition of the Annals of Rheumatic Diseases. DALY's increased from 24 million to almost 34 million over the past 20 years. It's ranking was fourth, not far behind Low Back Pain. The study concluded that more research is desperately needed to better understand how to diagnose, manage, and prevent this problem.
GLUTEN SENSITIVITY IS MOSTLY NEUROLOGICAL
"Both Celiac Disease and Gluten Sensitivity may present with a variety of neurologic and psychiatric co-morbidities, however, extra-intestinal symptoms may be the prime presentation in those with Gluten Sensitivity. However, gluten sensitivity remains undertreated and underrecognized as a contributing factor to psychiatric and neurologic manifestiations." From the March 2012 issue of Psychiatric Quarterly (Neurologic and Psychiatric Manifestations of Celiac Disease and Gluten Sensitivity).
"Symptoms of gluten sensitivity can be numerous and vary widely from individual to individual. With gluten ataxia, the focus of disease activity is in the brain, specifically the cerebellum, the center that controls coordination and complex movements like walking, speaking and swallowing. Often, the peripheral nerves located outside the spinal cord are also involved, leading to chronic and progressive neuropathy, a disease affecting the nervous system that results in feelings of numbness, tingling or pain. Symptoms of gluten sensitivity with neurologic manifestations are slurred speech, loss of coordination in upper and lower limbs, difficulty with normal walking, ocular problems, chronic headaches. It may affect the fingers and hands, the arms or legs, the body, speech or eye movements. In children and young adults, gluten ataxia can also cause developmental delay, diminished muscle tone, learning disorders and ADHD." From the winter 2007 edition of Living Without (All in Your Head - Untreated Gluten Sensitivity)
"The Mayo Clinic, Dr. Tom O'Bryan, and others have stated that celiac disease is primarily a neurological disease.... These effects include significant neurological and mental health disorders, learning disabilities, and problems with cognitive and motor skills. More than 57 million Americans have been diagnosed with a mental health disorder, an estimated one in four-to-five adults. One food substance has increasingly been associated with neurological symptoms - Gluten: a protein found in the cereal grains wheat, rye, barley, and related species. Gluten sensitivity can lead to neurological and mental health effects in various ways, including: Triggering inflammatory autoimmune responses throughout the nervous system; Producing narcotizing effects on the brain; Inducing changes in brain perfusion, or blood flow". From Neurological Effects on the Gluten Free Choice website.
Much of this attitude has to do with the fact that while few doctors would argue that Celiac Disease (an AUTOIMMUNE DISEASE of the Small Intestine) exists, according to the last link in the previous paragraph, the majority of these same doctors would say that Celiac Disease is where the whole "Gluten Sensitivity" thing not only begins, but ends as well. In other words, if you don't have Celiac Disease, you can't have a problem with Gluten, because there is no such thing as non-Celiac Gluten Sensitivity. Truthfully, with internet medical research databases such as Pub Med available today, a person could not only debate this thought process with one hemisphere of their brain tied behind their back, but could literally write a book on the subject as well (actually, there are numerous books on this topic already out there). Here are a few of the studies on the neurotoxicity of Gluten.
In the May 2002 issue of the Journal of Neurology, Neurosurgery and Psychiatry, Dr. Marios Hadjivassiliou (a British Neurologist and Professor of Neurology at Sheffield Teaching Hospitals) wrote, "With clinical manifestations primarily confined to the gastrointestinal tract or attributable to malabsorption, it was logical to assume that the target organ and hence the key to the pathogenesis of this disease was the gut.... Patients with an enteropathy represent only a third of patients with neurological manifestations and gluten sensitivity." Stop. Did you catch that? Only a third of the patients with Gluten Sensitivity actually have enteropathy (PATHOLOGIES of the Gut, aka the digestive tract). In other words, most people who are Gluten Sensitive have no Gut symptoms --- or at least no overt Gut pathologies (positive intestinal biopsy). This was not new information when it came out 12 years ago.
In still another study from 1999, the British Medical Journal (BMJ) published an article by Dr Conleth Feighery in their "Fortnightly Review" simply called Coeliac Disease. In the article, he compared the amount of undiagnosed Celiac Disease to the amount of diagnosed Celiac Disease by using the analogy of an iceberg. An iceberg only has about 10% of its mass visible above the water. Dr. Feighery (an Immunologist at St. James Hospital in Dublin, Ireland) used an iceberg diagram to show that the same thing is true with Celiac Disease. His article said that only about 12.5% (1 in 8) people with Celiac are ever diagnosed. These findings were echoed in a 2006 issue of Gastroenterology by Fasano and Catassi, and then again in a 2006 issue of the medical journal Gut, when van Heel and West stated that, "The current ratio of clinically diagnosed to undetected cases is approximately 1 to 8".
However, the largest, possibly most important and least understood group of diseases that appear to have links with CD are those with a statistical association, such as epilepsy, the neuropathies and myelopathies, the ataxias, and male and female infertility. With these conditions, the story is only beginning to unfold, and responses to diet are less evident. Dr. Duggan --- a gastroenterologist and professor of medicine at the University of Newcastle, Australia ----- goes on to tell us who has the most problems with sensitivity to Gluten. "Those of northern European ancestry." By the way, did you notice that the Gluten-associated neurological problems mentioned by Dr. Duggan are "less evident" to dietary responses (i.e., a Gluten-free diet) than the standard GI symptoms. Stick around and I will show you not only why this is, but how to remedy most cases of it as well.
Here's the thing folks. I could go on and on and on. The January 2006 issue of the Journal of Clinical Gastroenterology stated that, "Our findings demonstrated an increased prevalence of thyroid disorders with CD." The Polish medical journal Przegl Lek published an article almost five years ago stating that, "Celiac disease is the status of the autoimmune answer provoked by gluten ingestion in genetically predisposed people. Celiac disease is an autoimmune disorder that can coexist with other diseases, such as diabetes mellitus type 1 (DMID) and thyroid gland diseases. The frequency of the incidence of celiac disease in DMID patients was 9.71%." So; almost 1 in 10 Type I (Autoimmune) Diabetics are Celiacs. You should be starting to notice a trend. The thing you absolutely must grasp about this post is that most of studies we have looked at today pertain to those with Celiac Disease. We know two very important facts about full-blown Celiac Disease as compared to those who "only" have Gluten Sensitivity.
- THERE IS AN INCREDIBLY LOW RATE OF DIAGNOSED CELIAC DIAGNOSIS: We know that at best, only 1 in 8 Celiacs is ever diagnosed. It seems like these numbers get worse in every succeeding study. The rate for Celiac Disease most currently touted here in America is between 1 in 133 and 1 in 100. This means that in the United States, at least 3 million people have Celiac Disease. Again; you cannot forget that the vast majority of these individuals are never diagnosed (the "gold standard" for diagnosing Celiac Disease is intestinal biopsy).
- CELIAC DISEASE IS A TINY BLIP ON THE SCREEN OF GLUTEN SENSITIVITY: The real kick in the teeth is that the vast majority of those who are sensitive to Gluten are not Celiacs. How can this be? As I stated earlier, Celiac Disease is a very specific Autoimmune Disease of the Small intestine. There are thousands upon thousands of other bodily tissues (hormones, neurotransmitters, etc are also included here) that your own Immune System could decide to start making antibodies against as well. The small intestine is only one of many, but is the only one that carries the label of "Celiac". This means that you can be every bit as sensitive to Gluten as someone who has Celiac Disease (or even more so), and not have a single one of the traditional GI symptoms so commonly associated with it (gas, bloating, IBS, etc, etc). Again; this is because the majority (60 - 80%) of all symptoms of Gluten Sensitivity are neurological.
As to how we got here? For the most part, it's part of the age-old story we've been following since the Tower of Babel. Man thinks he can do better than God (HERE'S a great example of this phenomenon). We have genetically tinkered with and hybridized our grains until they are genetically unrecognizable to our own bodies. And what happens when our body fails to recognize a protein as "safe" or "natural"? After determining it's "foreign," it mounts an Immune System response and attacks the devil out of it. Relentlessly. Unmercifully. The resulting INFLAMMATION drives a host of severe Endocrinological / Neurological health problems that we are finally starting to associate with Gluten. For more information on this topic, just go HERE or HERE. For information on going GLUTEN FREE, just click the link. You'll have to figure much of this on your own because your medical doctor is behind the eight ball on this topic (HERE). But I will warn you beforehand............
WARNING WARNING WARNING WARNING
Furthermore, Gluten Sensitivity tends to run in families. This means that if you are Gluten Sensitive or have a family history of Inflammatory Bowel Disease, CHRONIC INFLAMMATORY DEGENERATIVE DISEASES of any kind, or any sort of neurological health issues, it would serve you well to educate your progeny about this matter. It could be the difference between life and death. And when you add to the mix, our national over-consumption of SUGAR & CARBS, unbridled ANTIBIOTIC USE, and POOR GUT HEALTH (including LEAKY GUT SYNDROME and DYSBIOSIS), you can begin to see the magnitude of this situation.
- DENTAL ISSUES: There are a bunch of these, and include chronic (and often hidden) infections as well as TMJ.
- TMJ / TMJD: Even though I mentioned it above, issues with the TMJ are common and can cause Chronic Facial Pain
- CHRONIC SINUS INFECTIONS: To read more, on this issue go HERE.
- MIGRAINE HEADACHES: Common. HERE.
- TRIGEMINAL NEURALGIA / TIC DELROUX: Called "Suicide Disease" because of its severity.
- OTHER KINDS OF NEURALGIA: Post Herpetic (SHINGLES) is a common one. I would try COLD LASER on any form of neuralgia.
- PSYCHOGENIC: This is the old "it's-all-in-your-head" approach (HERE). While this is true in some cases, it is probably overused by doctors who simply don't understand what's going on.
Although FASCIA is the most abundantly found connective tissue in the body, it does not get much play in the medical field as to its potential role in CHRONIC PAIN SYNDROMES. For many of you struggling with Chronic Pain, this is unfortunate indeed. Fascia is not only the most abundant connective tissue, it is also the most pain-sensitive as well. And to make matters worse, because the Fascia in most areas of the body is cellophane-thin, it cannot be imaged with even the most technologically advanced techniques such as MRI. Add these factors together and people are automatically set up for diagnostic / therapeutic failure.
Over the years I have seen numerous cases of FASCIAL ADHESIONS in the Face. While smaller, the muscles of the face are not really different than the muscles found in the rest of the body. Furthermore, the amount of Fascia on the head is astounding (HERE). Throw in the Cervical Fascia that is so commonly responsible for CHRONIC NECK PAIN, add to it the fact that the Fascia from all these regions is connected together, and you can see that the potential for disaster is high. Let me share a few stories with you concerning Chronic Face Pain.
I have seen several people, including a young woman whose car was moving at over 100 miles per hour at the time of the collision, involved in severe MVA's, where they impacted their face with the windshield, steering wheel, or even the airbag. Some of these people ended up with Scar Tissue in their orbital socket (the lip of bone around their eyeball). Some had Scar Tissue on or around their zygomatic arch. Still others had Scar Tissue and Fascial Tearing in the muscles of mastication (temporalis and masseter). I have also seen a lot of Facial Scar Tissue due to fights and or SPORTS INJURIES. The bottom line is that any sort of trauma to the face, has the ability to leave adhesions and Scar Tissue in the Fascia. The downer for you is that these are the sorts of injuries that doctors will never figure out.
IS MINE REAL OR ALL IN MY HEAD?
"There are some clinicians who feel that the only approach to identify the true nature of pain is to demonstrate physical or chemical pathology. The reasoning behind this approach is based on the faulty assumption that physical findings are directly related to the pain experience.
Unfortunately, biomedical research has not been able to confirm that the existence of physical pathology and pain are directly related. In fact, a number of studies have found that significant pathology can exist in individuals who report little or no pain, and conversely, studies have found significant levels of pain with little or no physical pathology. Turk and Melzack have written that “the association between physical abnormalities and patient’s reports of pain is often ambiguous or weak.”
Despite these findings, there are still many clinicians who feel that if pain is not associated with physical pathology, then by simple deduction, pain must be psychogenic in origin. Again, as I have pointed out previously, there is no creditable empirical research to support this position."
FUNCTIONAL PROBLEMS: Functional problems are problems that do not show up on PHYSICAL EXAMINATIONS or with STANDARD MEDICAL TESTING (or HERE). According to YourMedicalDetective's website, Functional Medicine is, "patient-centered medical healing at its best. Instead of looking at and treating health problems as isolated diseases, it treats individuals who may have bodily symptoms, imbalances and dysfunctions. As the following graphic of an iceberg shows, a named disease such as diabetes, cancer, or fibromyalgia might be visible above the surface, but according to Functional Medicine, the cause lies in the altered physiology below the surface. Almost always, the cause of the disease and its symptoms is an underlying dysfunction and/or an imbalance of bodily systems." In other words, instead of simply covering symptoms, the goal is to deal with the underlying cause(s) of those symptoms. That's why dealing with Functional Problems is invariably going to require some effort on your part.
PATHOLOGY: According to Webster's Dictionary, pathology is, "the study of diseases and of the changes that they cause: changes in a person, an animal, or a plant that are caused by disease". Because of our increasing reliance on 3rd party payers who want hard evidence in the form of objective findings of a person's illness before they pay the doctor for treatment, they do not like "Functional Diagnoses". A great example of a Functional Diagnosis would be FIBROMYALGIA. Despite the myriad of symptoms, there are no definitive standardized medical tests that reveal a diagnosis. And here's the rub; Functional Problems are more common than Pathology --- far more common. This is partially why such a huge percentage of chronically ill people are being misdiagnosed (HERE). Which of these two problems would the average doctor rather see, diagnose, and treat? That one is easy to answer ---- patients with outright Pathology.
What are some of today's common health problems that used to be Functional, but because of advances in technology and testing procedures, are starting to be seen for what they are? Here are four that go hand in hand with each other and are often times seen in unison.
- GLUTEN SENSITIVITY / GLUTEN CROSS-REACTIVITY: HERE
- LEAKY GUT SYNDROME: HERE
- AUTOIMMUNITY: HERE
- DYSBIOSIS: HERE
But the differences between Functional Problems -vs- Pathology do not stop there. What about some of the musculoskeletal problems that I see each and every day in my clinic that are caused by ADHESIONS OF THE FASCIA? I've said for a very long time that the microscopic scar tissue that makes up Fascial Adhesions sets the stage for a "PERFECT STORM" of Chronic Pain. Think about it like this for a moment. Do you think it's potentially problematic that Fascia; which is not only the single most pain-sensitive Connective Tissue in the body, but also the most abundant connective tissue as well, cannot be imaged with MRI? This scenario sets the stage for a wide range of musculoskeletal problems that can be painful to the point of debilitating, yet do not present with a definite set of objective findings and frequently don't show up with even the most advanced imaging techniques.
How about PIRIFORMIS SYNDROME? What about CHRONIC NECK PAIN or HEADACHES as mentioned above (especially in people with NORMAL RANGES OF MOTION)? What about kids who have OSGOOD SCHLATTERS but have not yet developed the classic "Tibial Tubercle" even though there is pain blow their knee? How about SKULL PAIN? The truth is, almost anything on THIS LIST could be considered worthy of being included in this paragraph. For those looking for some resolution, HERE is a good place to start.
MORE ON THE RECENT CHANGES TO
A few months ago, I shared a post on this subject (HERE), and revealed to you the phenomenal numbers of Financial Conflicts of Interest (COA's) among those creating these guidelines. In fact, it was so bad that after the guideline authors revealed their financial conflicts, they simply wrote, "The other members of the writing groups reported numerous relationships with industry," and left it at that. And although we knew that these new "EVIDENCE-BASED" guidelines would increase the number of Americans taking statins, we did not know how dramatic this increase would be until earlier this week. A study by Dr. Michael Pencina of the Duke Clinical Research Institute and published in the most recent issue of the New England Journal of Medicine (Application of New Cholesterol Guidelines to a Population-Based Sample) revealed the answer. And while shocking, the results were not surprising in the least. The study's conclusions are as follows.
"The new guidelines would increase the number of U.S. adults receiving or eligible for statin therapy from 43.2 million (37.5%) to 56.0 million (48.6%). Among adults between the ages of 60 and 75 years without cardiovascular disease who are not receiving statin therapy, the percentage who would be eligible for such therapy would increase from 30.4% to 87.4% among men and from 21.2% to 53.6% among women."
WHY DOES IT MATTER?
For the record, the COA's revealed by Dr. Pencina and his chief co-author included
- McGill University Health Center: McGill does a lot of research in the area of heart disease, cholesterol, and drugs to lower cholesterol (both statins and non-statins).
- AbbVie: AbbVie, a division of Abbott Laboratories, manufactures the non-statin cholesterol drug "Niaspan", which is commonly prescribed along with statins. Clinical trials have shown it provides no benefit in lowering cholesterol. They are also heavily involved with stents, vessel closure devices, endovascular and coronary technologies.
- Janssen: Janssen is the collective name of the Pharmaceutical Companies of Johnson & Johnson. They recently came up with a new class of Type II Diabetes drug, and are involved with several dyslipidemia drugs.
- Eli Lilly: Eli Lilly makes the stain drug Livalo. They have also been working on a class of drug to increase HDL --- something which has proved elusive to the pharmaceutical industry. They have also been involved with the non-statin drug PCSK9 as well. As a side note, Eli Lilly has claimed that their drug Livalo has fewer side effects than other statins. Listen to what Dr. John Briffa has to say about the way that Eli Lilly is exploiting this fact on the July 13, 2012 issue of his blog. "It’s well known that about 75 per cent of people who start statins stop again within a year. Recently, the drug company Eli Lilly issued a press release regarding a survey called ‘Understanding Statin use in America and Gaps in Education’ (‘USAGE’). The USAGE survey was an attempt, on the face of it, to better understand the reasons for why so many individuals stop taking their statins. More than 10,000 people were polled, and the results are in. It turns out that off all of the reasons individuals might stop their statin medication, ‘side effects’ was the most commonly cited reason. According to the survey, a full 62 per cent of respondents cited side effects as the reason for stopping their medication." According to Eli Lilly, Livalo is the perfect solution for these folks.
- Boehringer Ingelheim: Boehringer Ingleheim makes about 30 different drugs, including many for the cardiovascular system.
To read more about the COA's in this area of industry guidelines within the field of cholesterol, you can go to the blog of Dr. Barbara Roberts --- a professor at Brown University (HERE) and read a short article she wrote on the subject. She says the conflicts in this area are over half a billion dollars.
ADHD DOES NOT EXIST?
"Attention Deficit Hyperactivity Disorder (ADHD) is one of the most commonly diagnosed conditions of childhood in the U.S. According to the Centers for Disease Control (CDC), in 2012 11% of children ages 4 to 17 had been diagnosed with ADHD. In recent years, a recognition that ADHD can continue into adulthood has led to increased diagnosis and treatment in adults." Page 4 of the Turning Attention to ADHD paper.
Richard Saul is a sharp guy. He is a medical doctor with over 5 decades of experience as a Behavioral Neurologist. He holds board certifications in both Neurology, and Immunology (two extremely complex specialties) as well as Pediatrics and Behavior & Development. He runs the Diagnostic and Developmental Center near Chicago, and has made the news recently because of his latest book ---- ADHD Does Not Exist. Dr. Saul and his book have made headlines in virtually every single newspaper and magazine in the Western world over the past week or so, and although I have not read the book, we should all take notice of some of the things he is saying. If you condense his recent article in Time Magazine down to a couple main points, they would be that according to the DSM (Diagnostic and Statistical Manual of Mental Disorders), the criteria for diagnosing ADHD is so broad that virtually everyone either has it or could be diagnosed with this it. He also makes the point that stimulant use and addiction are epidemic in America, and that the medical community has to do more for people with ADHD symptoms than merely provide them with stimulants.
That's correct. The drugs that physicians use to treat ADHD, are "stimulants", and led by some heavy hitters that most of you are at least somewhat familiar with; Aderall, Concerta, and Ritalin.
- ADERALL: Amphetamine / Dextroamphetamine is commonly used by athletes looking to boost energy levels and performance.
- RITALIN / CONCERTA: Methylphenidate is commonly abused by adults looking for a big high, or college students hoping to get better grades.
Here's what I want you to notice. The chemical names of these drugs contain either the word "amphetamine" or "meth" in them. Yep; when you allow a doctor to prescribe your child various forms of Methamphetamine (HERE) to control their ADHD, problems are bound to ensue. Ask someone who knows. It was Kurt Cobain's widow, Courtney Love, who said when asked about the relationship between his ADHD and drug problem, "When you're a kid and you get this drug that makes you feel that feeling, where else are you going to turn to when you're an adult?". It's a valid point. According to the report, not only are the people on ADHD meds far more likely to be taking Depression medications, but, "Children on ADHD medications are 10 times more likely to be using an antipsychotic than children who are not using ADHD medications." I could go on and on, but the report itself is fairly short. You can read the whole thing in 15 minutes or less. But this is not the only place that ADHD drugs take you. It leads to the land of INSULIN RESISTANCE.
Not quite a year ago (HERE), I told you that men who had been diagnosed with ADHD as children, were twice as likely to be OBESE as adults. A recent study of 164,000 people done by doctors at Johns Hopkins School of Public Health and published in the journal Pediatrics confirmed these results. The crazy thing was that the stimulants kept people lean while they were young, but as they got older, their BMI's tended to rise rapidly ---- probably due to frying their ADRENAL GLANDS. Although the researchers speculate on the reasons for the weight gain, they never give a definitive reason.
I have a pretty good idea that much of the physical aspect of this problem goes back to GUT HEALTH (more about this HERE). Between the barrage of ANTIBIOTICS, SUGAR, VACCINATIONS, ESTROGEN-LIKE HORMONES, GLUTEN, TRANS FATS, HALIDES, FOOD ADDITIVES, MERCURY, JUNK FOOD & SODA, and numerous other substances that we are saturating our babies / children with from the day they are born, we are destroying the bacteria that make up 80% of their Immune Systems, not to mention the wide array of other critical functions they perform (HERE & HERE). I gave you one example of this phenomenon just the other day (HERE). Then, as the child gets older, throw in copious amounts of T.V., computers, video games, cell phones, and dumbed-down educational standards, and you have a recipe for disaster.
Without reading Dr. Saul's book, it is tough for me to make an accurate assessment. But after reading lots of the articles about his book, not to mention reading the short piece in Time that he wrote himself, I am not sure that the most accurate way to describe his position is that ADHD does not exist. It's a great title that will automatically sell books via its controversial nature. I think, however, that a more accurate title would have been "Many Different Health Conditions Result in Children that Cannot Concentrate". Either way you slice it, the drugs used to treat people with an ADHD diagnosis are not only frequently abused themselves, but often times lead to both drug and alcohol abuse.
THE CHRONIC PAIN DIET SOLUTION
WHY PALEO BEATS THE PANTS OFF THE DASH DIET
"DASH's final results appear in the April 17, 1997 issue of the New England Journal of Medicine. The results show that the DASH "combination diet" lowered blood pressure and, so, may help prevent and control high blood pressure." From the National Institute of Health's website, filed under 'The DASH Diet'.
Look at the old Food Pyramid --- a way of eating that was originally called "The Diabetes Diet" (that's right --- this is essentially what they were recommending for those with Diabetes before coming to the conclusion that it was causing what it was supposed to prevent). This has been taken over by several government-approved diets, with the latest and greatest being the DASH Diet (Dietary Approaches to Stop Hypertension) ---- a diet that claims to be "moderately high" in protein.
How problematic is this Food Pyramid "Replacement Diet"? Try this on for size. The National Institutes of Health website; filed under a sample menu for the DASH Diet, says to eat 7-8 servings of grains a day (Unfortunately, these were the original recommendations --- the current recommendations by DASH as of the original date of this post advised us to eat "6-12" servings of grains a day). The site also provided a sample breakfast --- I'm not making this up (if I'm lyin I'm dyin).
- ORANGE JUICE: This is what you give a diabetic whose blood sugar has gone too low, so you can raise it fast (HERE).
- CORN FLAKES / SUGAR ON TOP: Not only is this stuff heavily processed, corn is what you feed pigs and cattle if you want to fatten them rapidly. As for the sugar; do I even need to say anything?
- BREAD WITH MARGARINE & JELLY: Nothing like some high Glycemic Index, Gluten-stoked carbs to start your day. As for suggesting TRANS FATS over REAL BUTTER, this is almost unbelievable in this day and age. Almost.
- BANANA: A banana is a 100 calorie glucose bomb. If there is a higher Glycemic Index fruit you could eat, I am not sure what it is. Although I love bananas and could eat a dozen a day if you let me, I have learned that I can only eat them on rare occasions because I can pack on the pounds with bananas just like I were eating white potatoes --- which have a higher Glycemic Index rating than table sugar.
- LOW FAT MILK: MILK is the stuff that has been heavily processed, pasteurized, homogenized, and loaded with both Antibiotics and Hormones. It also happens to be one of the most potentially allergenic foods of the list, as well as being a Gluten Cross-Reactor (more in a moment).
This is a prime example of why you simply can't trust the government with your health. The truth is, NONE OF THE FOOD PYRAMIDS have changed much in the past thirty years, largely remaining based on grains (HERE). These are the perfect diets for solving Diabetes. If you are a physician looking for job security. Or a drug company. Or a mortician. However, if you are a person who is trying to control your blood sugar WITHOUT INEFFECTIVE DIABETES DRUGS, you might be in trouble on this diet ---- serious trouble.
Why do I mention things like Gluten and Blood Sugar along with a diet to control Chronic Pain? Only because dealing with these two things must be the cornerstone of any diet designed to help those struggling not only with CHRONIC PAIN, but with WEIGHT ISSUES, NEURO-DEGENERATIVE CONDITIONS, AUTOIMMUNE DISEASES, and most CHRONIC INFLAMMATORY CONDITIONS as well.
The diet I recommend that most people follow is one of the almost endless versions of the PALEO DIET. Just click on the link to see why it works for most people's individual situations. Beyond eating correctly, there are a few simple concepts you must understand as far as getting healthy is concerned. Below are a few of the posts you can thumb through if you are interested in learning more about helping yourself get out from under the boulder of Chronic Pain and / or Chronic Illness.
- ANTIBIOTICS: I start with ANTIBIOTICS because Antibiotics are the number one factor that destroy America's collective GUT HEALTH. According to research that is now almost two decades old, 80% OF THE IMMUNE SYSTEM is found in the Digestive Tract --- mostly in the form of bacteria that live there. Once you destroy the body's natural terrain / bacterial flora (also called the MICROBIOME or MICROBIOTA), the pathological bacteria begin to take over. This is called DYSBIOSIS, and is absurdly common here in America. In Europe, physicians are actually treating people who have AUTOIMMUNE DISEASES (successfully, I might add) with "FECES TRANSPLANTS" otherwise known as FMT's or Fecal Microbiota Transplants). Research also shows that people who were not BREAST FED have a much tougher time restoring and maintaining their normal Gut Flora. By the way, when you eat a Paleo Diet, you are cutting not only the Antibiotics out of your diet, but the XENOHORMONES as well.
- GLUTEN: Just the other day, I told you yet again that once the body starts creating Immune System responses to Gluten, it frequently starts to make them against itself (HERE). This is called Autoimmunity, and there are hundreds (probably thousands) of known Autoimmune Diseases (HERE is a list of some of them). For the record, Autoimmunity is always associated with LEAKY GUT SYNDROME. Furthermore, I have repeatedly said that there is a right way and a wrong way to go "GLUTEN FREE". Read the post and you will understand why going about it in a stepwise fashion is so important. And although we tend to associate Gluten with GI symptoms (gas, bloating, cramping, IBS, etc), the truth is that somewhere between 60 - 80% of all symptoms of Gluten Sensitivity are NEUROLOGICAL, and definitely have the ability to cause CHRONIC PAIN. On top of this, if people are being told anything at all about Gluten, it is simply to "cut back". Follow THIS LINK to see why just cutting back is a recipe for failure. In the same post, you can also read about why Gluten --- a biblical food ---- has become such a problem. Oh; and as for the "GLUTEN-FREE STUFF" you are buying at the grocery store? Knock it off already!
- BLOOD SUGAR: I treated a medical doctor two days ago for a chronic case of PIRIFORMIS SYNDROME. This person works mostly in the medical research field --- particularly in the arena of Blood Sugar. He talked about something I have told you several times before. He said that the vast majority of diseases can be tied back to UNCONTROLLED BLOOD SUGAR in some form or fashion. This is true even if you have not yet been "officially" diagnosed with DIABETES (yesterday I saw a person who had recently undergone a "Diabetes-related" amputation, even though their Blood Sugar levels were under that magical 125). Make an effort to understand how INSULIN RESISTANCE (pre-Diabetes) works, and you'll be ahead of the game. The thing is, if you don't seriously work at controlling your blood sugar, you'll end up paying the price with everything from CANCER, to OBESITY, to an INABILITY TO SLEEP, to an INABILITY TO HAVE OR WANT SEX, ALZHEIMER'S, ADDICTIONS, and Chronic Illnesses of every size, shape, and color. And these are the tip of the iceberg. The "D's" of Chronic Pain (HERE) are sure to follow.
The fantastic thing is that the foundation for beginning the healing process for all of these diverse situations is essentially the same (HERE). Sure; you can follow our government's advice and go with the DASH Diet or something similar. Or you can cut out the potentially reactive foods, control your blood sugar, and watch what happens to your weight and your health ---- not to mention your pain.
ANTIBIOTICS ARE WORSE FOR YOUR
HEART THAN YOU EVER DREAMED
"Azithromycin and levofloxacin [both common Antibiotics] were both associated with elevated risks of death and serious cardiac arrhythmias during standard lengths of prescription." Todd Neale from a recent article he wrote for the March 10 edition of MedPage Today.
Dr. Gowtham Rao and colleagues found the risk of all-cause death and arrythmias were 48% greater and 77 percent greater respectively for the Zithro group as compared to Amoxocillin. But that was not the thing I found most interesting. The comments by Dr. Thomas Amoroso (MD MPH) on a MedPage Today article talking about this study were telling. After talking about the study hopefully putting another dent in overuse / misuse of Antibiotics, he invokes EVIDENCE-BASED MEDICINE and then says, "What is the absolute risk? Stating a relative risk without a context in which to put it is, in my personal opinion, a form of statistical malpractice everyone should avoid. Especially those of us who would like physicians to alter their behavior in evidence based ways; if we cheat, we make it OK for anyone to cheat." One of these days we will cover Absolute Risk -vs- Relative Risk in medical studies, but I have to go now.
Dr. Schierling completed four years of Kansas State University's five-year Nutrition / Exercise Physiology Program before deciding on a career in Chiropractic. He graduated from Logan Chiropractic College in 1991, and has run a busy clinic in Mountain View, Missouri ever since. He and his wife Amy have four children (three daughters and a son).
Brain Based Therapy
Can You Help
Cardio Or Strength
Cold Laser Therapy
Death By Medicine
Degenerative Joint Disease
D's Of Chronic Pain
Evidence Based Medicine
Gluten Cross Reactivity
Ice Or Heat
Jacks Fork River
Leaky Gut Syndrome
Number One Health Problem
Platelet Rich Therapy
Post Surgical Scarring
Re Invent Yourself
Rib And Chest Pain
Scar Tissue Removal
Sleeping Pills Kill
Stay Or Go
Stretching Post Treatment
Tensegrity And Fascia
The Big Four
Thoracic Outlet Syndrome
Whole Body Vibration